NSG 118 Exam For Management of Newborn at Risk Accessibility / Disability Test Bank Reviewed 2026/2027| Questions and Answers With Rationale

NSG 118 Newborn Management Exam Review: Neonatal Sepsis, RDS & NICU Final Study Guide This comprehensive study guide is designed for nursing students preparing for the NSG 118 Exam on the Management of the Newborn. Covering high-yield topics from a neonatal nursing perspective, this document details the pathophysiology, clinical manifestations, and evidence-based nursing interventions for high-risk newborns. NSG 118 Exam For Management of Newborn at Risk Accessibility / Disability Test Bank Reviewed 2026/2027| Questions and Answers With Rationale 1. What are some characteristics that a newborn may have if they come from a diabetic mother?: ANS - full rosy cheeks, ruddy skin color, short neck, Buttaro hump, massive shoulders, distended upper abdomen, excessive SQ fat tissue, hypoglycemia, birth trauma - Hypocalcemia, hypomagnesemia, polycythemia, hyperbilirubinemia 2. What are risk factors for retinopathy of prematurity: ANS - low birth weight - Early gestational age - Sepsis - High light intensity - Hypothermia - Hypoxia - Duration ad concentration of supplemental o2 3. What nursing care and consideration need to be considered for a patient with ROP?: ANS - during o2 administration, fluctuations in art concentrations of o2 must be prevented - Wean off o2 asap - Decrease constant bright lights, use a blanket to provide shading - Routine checks by an optho. Starting at 4-6weeks of age - Maintain the lowest level of o2 possible to maintain pulse ox. Reading 92% 4. Common characteristics of Preterm Newborns: ANS - weight 5.5 - Scrawny appearance - Poor muscle tone - Minimal sq fat - Undescended testes - Plentiful lanugo - Poorly formed ear pinna - Fused eyelids - Soft spongy skill stones - Matted scalp hair - Absent to few creases in soles and palms - Minimal scrotal rugae; prominent labia and clitoris - Thin transparent skin - Abundant vernix 5. What are s/s of neonatal sepsis: ANS - irritability - Poor feeding - Lethargy - Tachycardia/bradycardia - Poor muscle tone - Temperature instability 6. Give examples of condition that causes/affects newborn? - Birth trauma - Hyperbilirubinemia - Infants of diabetic mothers - Newborns of perinatal substance abusing. Mothers - Newborn sepsis - Neonatal asphyxiation - Transient tachypnea of the newborn - Respiratory distress syndrome - Meconium aspiration - Bronchopulmonary dysplasia - Retinopathy of prematurity - NEC: Acquired Conditions of the Newborn 7. Injuries due to the forces of labor and birth - Types: fractures, brachial plexus injury, cranial nerve trauma, head trauma - cephalohematoma/caput) - Bruising, bumps, swelling, paralysis, symmetry of structure and function: Birth trauma 8. Imbalance in rate of bilirubin production and elimination - Total serum bilirubin level 5mg/dl - Physiologic jaundice (after 24 hrs of life, up to 1 week) - Early onset breastfeeding jaundice - Late onset breastfeeding jaundice - Pathologic jaundice (within first 24 hours of life) - Kernicterus, Rh isoimmunization, ABO incompatibility: ANS Hyperbilirubinemia 9. What is the nursing management for hyperbilirubinemia?: ANS - reduction of bill levels: early feeding, phototherapy, exchange transfusions - Education and support: home phototherapy 10. What is some nursing care that may be used for newborns undergoing phototherapy?: ANS - cover eyes w/ mask - Assess eyes for discharge or corneal irritation - Remove mask during feedings so newborn can receive visual stimulation - Cover newborns genitalia - Monitor output (dehydration) - Turn and position q2 - Maintain neutral thermal environment - Monitor temp q3-4 hr and PRN